caa a22 4500 47703554X CHVBK 20180405111304.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/s002689900056 doi (NATIONALLICENCE)springer-10.1007/s002689900056 Major Vessel Resection during Limb-Preserving Surgery for Soft Tissue Sarcomas [Elektronische Daten] [Constantine P. Karakousis, Constantine Karmpaliotis, Deborah L. Driscoll] Abstract. There is uncertainty in the literature as to whether major vessel involvement in extremity soft tissue sarcomas constitutes an indication for amputation. This retrospective review includes 21 patients who underwent major vessel resection in the context of limb preservation for soft tissue sarcomas. Resected vessels were the common iliac in one, external iliac and common femoral in six, common and superficial femoral in five, superficial femoral in six, distal superficial and popliteal in two, and subclavian vessels in one. Wound infection occurred postoperatively in five patients (24%). One Gore-tex and one vein graft became exposed, but the wounds healed by secondary intention with routine wound care. Three patients (14%) manifested local recurrence, of which one required an amputation. The estimated 5-year survival rate is 63%. Involvement of major vessel(s) by soft tissue sarcomas of the extremities is not in itself an indication for amputation, as with en bloc resection of major vessels the local recurrence and 5-year survival rates parallel those of patients with soft tissue sarcomas not requiring major vessel resection.: 1996 by the Société Internationale de Chir, ugie Karakousis Constantine P. Department of Surgical Oncology, State University of New York at Buffalo, Millard Fillmore Hospital, 3 Gates Circle, Buffalo, New York 14209, U.S.A., US aut Karmpaliotis Constantine Roswell Park Cancer Institute, 666 Elm Street, Buffalo, New York 14263, U.S.A., US aut Driscoll Deborah L. Roswell Park Cancer Institute, 666 Elm Street, Buffalo, New York 14263, U.S.A., US aut https://doi.org/10.1007/s002689900056 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900056 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Karakousis Constantine P. Department of Surgical Oncology, State University of New York at Buffalo, Millard Fillmore Hospital, 3 Gates Circle, Buffalo, New York 14209, U.S.A., US aut NATIONALLICENCE 700 1- Karmpaliotis Constantine Roswell Park Cancer Institute, 666 Elm Street, Buffalo, New York 14263, U.S.A., US aut NATIONALLICENCE 700 1- Driscoll Deborah L. Roswell Park Cancer Institute, 666 Elm Street, Buffalo, New York 14263, U.S.A., US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer